Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.29 / $2,877.00 / $4,933.00	Facility		$432.29	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.02 / $985.12 / $2,050.02	Professional		$284.02	$985.12	$2,050.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.30 / $354.30 / $354.30	Professional		$354.30	$354.30	$354.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,964.70 / $6,147.30 / $14,439.03	Facility		$2,964.70	$6,147.30	$14,439.03
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,914.89 / $2,902.08 / $5,092.72	Facility	50	$1,914.89	$2,902.08	$5,092.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.50 / $520.35 / $811.75	Professional		$88.50	$520.35	$811.75
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $780.53 / $780.53 / $3,754.83	Professional	50	$780.53	$780.53	$3,754.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.64 / $555.64 / $555.64	Facility		$555.64	$555.64	$555.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.08 / $1,233.36 / $3,145.72	Professional		$328.08	$1,233.36	$3,145.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $448.30 / $2,877.00 / $4,933.00	Facility		$448.30	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $284.02 / $1,534.31 / $2,152.52	Professional		$284.02	$1,534.31	$2,152.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,272.66 / $1,592.56 / $2,235.96	Professional		$1,272.66	$1,592.56	$2,235.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,500.00 / $9,202.00	Facility		$3,296.00	$7,500.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,578.92 / $1,984.01 / $2,808.12	Professional		$1,578.92	$1,984.01	$2,808.12